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표제지 2

목차 4

Abstract 8

Ⅰ. 서론 11

1. 연구의 필요성 11

2. 연구목적 14

3. 연구의 가설 14

4. 용어 정의 15

1) 성기능 증진 프로그램 15

2) 성지식 15

3) 성적 자기개념 16

4) 성친밀감 16

5) 성의사소통 17

6) 성기능 17

Ⅱ. 문헌고찰 18

1. 임부의 성기능 18

2. 임부의 성기능에 영향을 미치는 요인 20

1) 성지식 20

2) 성적 자기개념 22

3) 성친밀감 24

4) 성의사소통 25

3. 임부 성기능 증진 프로그램 26

Ⅲ. 연구의 이론적 기틀 32

Ⅳ. 연구방법 37

1. 연구설계 37

2. 연구대상 38

1) 선정기준 38

2) 제외기준 38

3. 비대면 임부 성기능 증진 프로그램 개발 41

1) 분석 41

2) 설계 44

3) 개발 46

4. 자료수집 53

1) 프로그램의 적용 53

2) 변수의 측정 53

5. 연구 도구 55

1) 일반적 특성과 산과적 특성 55

2) 성지식 55

3) 성적 자기개념 56

4) 성친밀감 57

5) 성의사소통 57

6) 성기능 57

6. 윤리적 고려 58

7. 자료분석방법 59

Ⅴ. 연구결과 60

1. 일반적 특성과 산과적 특성의 동질성 검정 60

2. 결과변수의 사전 동질성 검정 62

3. 가설검정 63

Ⅵ. 논의 67

1. 비대면 임부 성기능 증진 프로그램의 개발 67

2. 비대면 임부 성기능 증진 프로그램의 효과 70

Ⅶ. 결론 76

Reference 77

Appendices 100

Appendix 1. 비대면 임부 성기능 증진 프로그램과 관련된 문헌분석 100

Appendix 2. 초임부의 성생활 경험 질적분석 103

Appendix 3. 비대면 임부 성기능 증진 프로그램의 내용 타당도 평가 104

Appendix 4. 비대면 임부 성기능 증진 프로그램의 구성 112

Appendix 5. 예비프로그램의 평가 결과 116

Appendix 6. 성자존감 도구의 요인분석 결과 117

Appendix 7. 기관생명윤리위원회 심사결과 통지서 118

Appendix 8. 연구대상자 설명문과 동의서 119

Appendix 9. 설문지 123

Appendix 10. 연구 도구의 사용승인서 132

Appendix 11. 임부 성기능 증진프로그램의 교육자료 134

Appendix 12. 패들렛 사용법 설명서 140

표목차 7

Table 1. Research Design of This Study 37

Table 2. The Composition and Content of a Non-Face-to-Face Sexual Function Enhancement Program for Pregnant Women Based on the Ex-PLISSIT Model 49

Table 3. Homogeneity Test for Characteristics of Participants 61

Table 4. Homogeneity Test of Outcome Variables 62

Table 5. Comparison of Outcomes between the Two Groups 65

그림목차 7

Figure 1. Theoretical framework for this study 36

Figure 2. Flow diagram of participant recruitment and intervention process 40

Figure 3. Analysis of the importance and difficulty of sexual life during pregnancy 42

Figure 4. Borich priority determination formula 43

Figure 5. Comparison of outcomes between the two groups 66

초록보기

 Pregnancy is a major cause of sexual dysfunction in women, and sexual dysfunction in pregnant women can also affect their partners, leading to sexual conflicts and a decreased quality of life for the couple. Therefore, interventions to maintain and enhance the sexual function of pregnant women are necessary. This study developed and evaluated the effectiveness of an integrated, non-face-to-face sexual function enhancement program for pregnant women.

The program was based on the Ex-PLISSIT (Extended Permission, Limited Information, Specific Suggestion, Intensive Therapy) model as the framework for intervention, and the Information-Motivation-Behavioral Skills (IMB) model was applied to verify the effectiveness of the intervention. The study was a quasi-experimental study with a non-equivalent control group pre-post design.

The development of the program applied the ADDIE model, and the developed program was conducted non-face-to-face using the Zoom video conferencing platform, telephone counseling, Padlet, and KakaoTalk. The subjects of the intervention were 46 pregnant women in the first and second trimesters (experimental group: 23, control group: 23). The experimental group participated in a four-week non-face-to-face sexual function enhancement program for pregnant women, with one session per week (Session 1: sexual self-esteem, Session 2: body image, Session 3: sexual intimacy and communication, Session 4: sexual function) and two telephone counseling sessions, while the control group was provided with a sexual function guide pamphlet.

Effectiveness was evaluated using Google URLs for pre-intervention surveys before the intervention, post-intervention surveys one week after the program ended, and follow-up surveys four weeks after the program ended. The survey content included sexual knowledge, sexual self-esteem, body image, sexual intimacy, sexual communication, sexual function, general characteristics, and obstetric characteristics. Post-intervention and follow-up surveys were conducted with 21 participants in the experimental group and 23 in the control group. The collected data were analyzed using IBM SPSS Statistics for Windows ver. 28.0, with chi-square tests, Fisher's exact tests, and Shapiro-Wilk tests for pre-intervention homogeneity tests, and independent t-tests, Mann-Whitney U tests, and repeated measures ANOVA for analyzing differences in research variable scores over time between the experimental and control groups.

The content validity mean score of the non-face-to-face sexual function enhancement program for pregnant women developed in this study was 0.8 to 1.0, and the construct validity mean score in the evaluation of the preliminary program was 1.0. In the program's effectiveness evaluation, there were significant differences in the interaction of measurement time and group for pre-post-follow-up sexual knowledge (χ²＝13.0, p 〈.001), sexual self-esteem (χ²＝4.82, p ＝.010), body image (χ²＝7.65, p 〈.001), sexual intimacy (χ²＝5.15, p ＝.010), sexual communication (χ²＝6.17, p ＝.003), and sexual function (χ²＝7.65, p 〈.001) scores, supporting the hypothesis of this study.

The non-face-to-face sexual function enhancement program for pregnant women developed in this study was confirmed to enhance the sexual function of pregnant women by inducing sequential changes in the IMB model through a non-face-to-face intervention applying the Ex-PLISSIT model. Therefore, it is necessary to utilize interventions applying the Ex-PLISSIT model non-face-to-face to enhance the sexual function of pregnant women.

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